eSource: Registration

Registration for CWB Membership

Step 1 of 3

Centre for Women in Business Membership
Welcome to our community!

Please note: in order to complete your membership application, payment is required.

First Name:*

Last Name:*

Company:*

Title:

Address:*

City:*

Province/State:*

Postal Code/Zip:*

Phone:*

Business Website:

Email:*

Business Email:

Confirm Email:*

Confirm Alternate E-Mail:

Alternate Contact

If you are registering on behalf of someone else - fill in your contact information below so that you will be copied on any e-mails/etc pertaining to the event.

Alternate First Name:

Alternate Last Name:

Alternate Contact Email:

Registration

Registration:

Individual Membership: For small business owners and aspiring entrepreneurs who would like to join the CWB community - $125.00	MSVU Alumnae: For individual business owners who would like to join the Centre and are already a part of the Mount Saint Vincent University campus community - $99.00
Corporate Membership: Designed for companies and organizations who wish to engage with the Centre as a sponsor and send multiple employees to our workshops and events - $499.00

I am a	new member returning member

If an Alumnae, which year did you graduate from MSVU?

Number of years in business:

Percentage of Ownership:

Number of Staff (Including Owner):

Are you currently exporting your products or services outside of Canada? If yes, please list where.

Business Type:	Sole Proprietorship Partnership Co-Operative Non-Profit/Association Incorporated

Required: Please provide a brief description of your business for CWB internal use. (Approximately 20 words)

Revenue Range:	$100 000 or less $100 000 - $250 000 $250 000 - $500 000 $500 000 - $1 million $1 million +

May we proudly mention your name and business in our monthly CWB Update as a new or returning member?	Yes No

By signing up for a membership with the CWB, you will be automatically subscribed to our email distribution list.	Yes No

Required: What is the most important reason you are joining the CWB today?

Comments :

CONFIRMATION & CANCELLATION POLICY: A confirmation receipt will be sent by email upon receipt of payment. All fees are non-refundable.

Questions regarding your membership?

Please contact the Centre at cwbmembership@msvu.ca

I have read and understand the Terms and Conditions and Privacy Statement

Registrar@eSourceEvent.com

902-445-4846